What Causes Ongoing Chest Pain?

Posted on Tue, 29 Apr 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 29 Apr 2014 Answered on

Fri, 16 May 2014 Last reviewed on

Question : I have been having ongoing chest pain and when I hook myself up to a heart monitor it shows ST Depression (horizontal greater than one box). I am currently on imdur and take nitro when the pressure gets bad. I have been diagnosed with coronary artery spasms and am wondering if I should be concerned about the ST depression and when to go the emergency room.

Answered by Dr. Pragnesh Vachharajani (9 hours later)

Brief Answer:
Visit ER in case of persistent pain

Detailed Answer:
Hi,

Thanks for posting your query.

It is good that you are an informed patient.

Any chest pain that comes frequently and last long inspite of reliever medication needs medical attention urgently.

The kind of pain that you know by experience:

Feels different
Lasts long even after drugs
Not getting relieved even after drugs
you can appreciate the st depression in more than one leads
Associated with perspiration
Associated with vomiting

Needs visit to a doctor immediately. Apart from this you should keep regular follow up with your doctor.

Normally spasm are transient and it goes away very fast.

I hope this helps.

Regards,

DR.Pragnesh

Above answer was peer-reviewed by : Dr. Shanthi.E